Inflammatory pseudotumor of the liver: case report and review of the literature.
Inflammatory pseudotumors of the liver (IPL) are extremely rare focal lesions of the parenchyma. Up to now, the ethology of IPL has not been completely understood. Usually the clinical presentation is with fever, chills, hepatic mass. The fine needle biopsy shows a large amount of inflammatory cells, while the most common imaging techniques are not specific and do not reach a definitive preoperative diagnosis between a benign and a malignant tumor. From the examination of the Literature, the Authors found a mortality rate of 40% among patients treated by antibiotic therapy, while surgical procedures were successful in all but one case. Moreover, in Authors' case, successfully treated by hepatic resection, the preoperative diagnostic procedures were not helpful in differential diagnosis with a malignant lesion. For these reasons, the Authors believe surgery is the best therapeutic choice in case of a suspected IPL without an early clinical resolution after antibiotic therapy.
Mangiante
G L
GL
Dipartimento di Scienze Chirurgiche, Cattedra di Chirurgia Generale, Chirurgia C, Università degli Studi di Verona.
Colombari
R
R
Portuese
A
A
Bortolasi
L
L
Marinello
P
P
Colucci
G
G
Montresor
E
E
Serio
G E
GE
D003937:Diagnosis, Differential; D006104:Granuloma, Plasma Cell / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D006498:Hepatectomy; D006801:Humans; D008107:Liver Diseases / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D008113:Liver Neoplasms / Q000175:diagnosis; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography